THE CLASSIFICATION AND TREATMENT OF ACUTE ARTICULAR CARTILAGE LESIONS
THE CLASSIFICATION AND TREATMENT OF ACUTE ARTICULAR CARTILAGE LESIONS
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DOI：
10.1016/s0749-8063(88)80067-7
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发表时间：
1988-01-01
期刊：
影响因子：
4.7
通讯作者：
DZIOBA R B
中科院分区：
文献类型：
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作者：
DZIOBA R B
在5年的时间里，通过关节镜诊断了65例膝关节软骨病变，并根据病变的年龄、大小、深度和位置进行分类。本研究的目的是评价标准化治疗方案的手术结果，该方案包括完全垂直切除患病或受伤的关节软骨，然后钻取软骨下骨板。采用标准化的术后康复方案，其中包括8周的非负重。2年时的总体临床结果显示，69%膝关节良好，3%膝关节一般，28%膝关节较差。71%的患者在1年时接受了随访关节镜检查，57%的患者同意进行活检。回顾性分析显示，具有最佳预后的组包括股骨髁承重部分的小到中等急性部分厚度病变。95%的人取得了良好的成绩。
Sixty-five articular cartilage knee lesions were diagnosed by arthroscopy over a 5-year period, and classified according to the age, the size, the depth, and the location of the lesion. The purpose of this study was to evaluate surgical outcome of a standardized treatment regimen consisting of complete vertical excision of diseased or injured articular cartilage followed by drilling of the subchondral bone plate. A standardized postoperative rehabilitation protocol was used, which included non-weight bearing for eight weeks. Overall clinical results at two years revealed 69% good, 3% fair, and 28% poor knees. Seventy-one percent of patients underwent follow-up arthroscopy at 1 year and 57% consented to biopsy. Retrospective analysis revealed that the group with the best prognosis consisted of small-to-medium acute partial thickness lesions on the weight bearing portion of the femoral condyles. Ninety-five percent of this group had good results.